Organization
BOUNDLESS INNOVATIONS FOR HOLISTIC LIVING
Active
Organization
BOUNDLESS INNOVATIONS FOR HOLISTIC LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONIKA COPE LCSW-C (CHIEF OPERATIONS OFFICER)
(240) 527-1402
Entity
Organization
Contact information
Practice address
4104 COLBY RD, PIKESVILLE, MD 21208-5305
(240) 527-1402
Mailing address
4104 COLBY RD, PIKESVILLE, MD 21208-5305
(240) 527-1402
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LC2058
MD
1041C0700X
Clinical Social Worker
Primary
14239
MD
Other
Enumeration date
03/14/2009
Last updated
03/14/2009
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